THOMAS V. BROGAN (NPI# 1275607913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275607913 |
| Entity Type | Individual |
| Full Name | THOMAS V. BROGAN |
| Credential | MD |
| Practice Address |
4800 Sand Point Way Ne Seattle WA 98105-3901 |
| Mailing Address |
Po Box 50010 Seattle WA 98105-1010 |
| Practice Telephone | 2069872170 |
| Practice Fax Number | 2069873935 |
| Mailing Telephone | 2069878450 |
| Mailing Fax Number | 2069878484 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
MD00031004 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8160624 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316911894 | Thomas M Brogan | Family Medicine | 8424 Naab Rd, Ste. 1c, Indianapolis, IN 46260-5918 | 2006-02-14 |
| Street Address |
4800 SAND POINT WAY NE |
| City | SEATTLE |
| State | WA |
| Zip Code | 98105-3901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891791448 | Eric M Harvey | Pharmacist | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2005-06-27 |
| 1326649930 | Amy Ardaya | Physician Assistant | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-11-02 |
| 1235739129 | Christopher Baker | Registered Nurse | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-29 |
| 1134728777 | Cara Elizabeth Hilderbrand | Registered Nurse | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-24 |
| 1376142810 | Alexandra Michelle Barrie | Registered Nurse | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-24 |
| 1285233270 | Joshua James Degrave | Pharmacist | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-20 |
| 1811595705 | Raven Khiara Hayes | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-13 |
| 1972101004 | Rachel Elizabeth Gulden | Physician Assistant | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-12 |
| 1821695446 | Kelsey Alexandra Macdonald | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-06 |
| 1275149676 | Lauryn Manning | Registered Nurse | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-09-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326662396 | Dale Justin Podolsky | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Ob.9.520, Seattle Children's, Seattle, WA 98105 | 2020-06-04 |
| 1376170878 | Andrew Crompton Yazman | Pediatrics | 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 | 2020-03-25 |
| 1427688845 | Daniela Michell Zepeda | Behavioral Analyst | 4616 25th Ave Ne Pmb 437, Seattle, WA 98105 | 2020-01-24 |
| 1255981189 | Emily King | Student in an Organized Health Care Education/Training Program | Mark Hawkins, Pa-c, Mpas, 4311 11th Ave Ne Suite 200, WA 98105 | 2019-09-12 |
| 1821659327 | Sara Katherine Horne | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Mb.11.500, Department of Anesthesiology and Pain Medicine, Seattle, Seattle, WA 98105 | 2019-06-25 |
| 1881252575 | Darryl Lee Wright | Peer Specialist | Gossett Place, 4719 12th Ave Ne, Seattle, WA 98105 | 2019-05-29 |
| 1487117891 | Nirupama Madhavan | Behavioral Analyst | 5001 25th Ave Ne, Seattle, WA 98105 | 2019-04-11 |
| 1780155648 | Eryn R Mcentee | Naturopath | 2216 Ne46th St, Seattle, WA 98105 | 2018-12-17 |
| 1356811921 | Kyle Leland Bernbach | Massage Therapist | 5224 Ravenna Ave Ne, Seattle, WA 98105 | 2018-11-27 |
| 1548742380 | Janal Kim | Physician Assistant | 4726 11th Ave Ne, Apt 511, Seattle, WA 98105 | 2018-08-29 |
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| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306378278 | Pliceliany Perez | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2017-03-30 |
| 1710276761 | Emily Berkman | Pediatrics | 4800 Sand Point Way Ne, A-5950, Seattle, WA 98105 | 2011-03-30 |
| 1003077025 | Leslie Ann Dervan | Pediatrics | 4800 Sand Point Way Ne, Mb.10.620, Seattle, WA 98105-3901 | 2008-06-23 |
| 1861651929 | Silvia Hartmann | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2008-06-04 |
| 1538338975 | Amelie Olga-marie Von Saint Andre - Von Arnim | Pediatrics | 4800 Sand Point Way Ne, M/s W-8866, Seattle, WA 98105-3901 | 2008-02-28 |
| 1508921024 | Ofer Yanay | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-12-26 |
| 1972672491 | Kenneth A Schenkman | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-11-07 |
| 1841376522 | Harris P Baden | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-10-27 |
| 1730265414 | David S Jardine | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-10-27 |
| 1811073596 | Jerry J Zimmerman | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-10-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.